Clinical questions on rehabilitation in cancer patients with skeletal metastasis: a content analysis of the multidisciplinary tumor board records

Yamanaka, Nobuki; Tsukamoto, Shinji; Ishida, Yukako; Shigematsu, Hideki; Hasegawa, Masatoshi; Sajiki, Marina; Mano, Tomoo; Tanaka, Yasuhito; Kido, Akira

doi:10.1007/s00520-020-05696-3

Cited by 5 publications

(7 citation statements)

References 21 publications

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“…For cancer patients with bone metastasis, the significance of a multidisciplinary approach in the diagnosis, treatment, preservation, and ADL improvement has been recommended ( 1 , 32 , 33 ). In general, oncologists are constrained by their expertise in initial diagnosis and treatment of spinal metastases.…”

Section: Multidisciplinary Approaches For Spinal Metastasismentioning

confidence: 99%

“…In general, oncologists are constrained by their expertise in initial diagnosis and treatment of spinal metastases. However, multidisciplinary cancer board meetings on bone metastases are usually attended by primary cancer physicians, medical oncologists, orthopedic surgeons, spine surgeons, diagnostic radiologists, radiation oncologists, physiatrists, palliative care physicians, psycho-oncologists, physical therapists, occupational therapists, pharmacists, nurses, and medical social workers ( 32 ).…”

Section: Multidisciplinary Approaches For Spinal Metastasismentioning

confidence: 99%

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A new era in the management of spinal metastasis

Morimoto,

Toda,

Hakozaki

et al. 2024

Front. Oncol.

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Despite the recent advances in cancer treatment, the incidence of patients with spinal metastases continues to grow along with the total number of cancer patients. Spinal metastases can significantly impair activities of daily living (ADL) and quality of life (QOL), compared with other types of bone metastases, as they are characterized with severe pain and paralysis caused by skeletal-related events. Reduced ADL can also lead to treatment limitations as certain anticancer agents and radiation therapy are not compatible treatments; thus, leading to a shorter life expectancy. Consequently, maintaining ADLs in patients with spinal metastases is paramount, and spine surgeons have an integral role to play in this regard. However, neurosurgeon, orthopedic and spinal surgeons in Japan do not have a proactive treatment approach to spinal metastases, which may prevent them from providing appropriate treatment when needed (clinical inertia). To overcome such endemic inertia, it is essential for 1) spine surgeons to understand and be more actively involved with patients with musculoskeletal disorders (cancer locomo) and cancer patients; 2) the adoption of a multidisciplinary approach (coordination and meetings not only with the attending oncologist but also with spine surgeons, radiologists, rehabilitation specialists, and other professionals) to preemptive treatment such as medication, radiotherapy, and surgical treatment; and 3) the integration of the latest findings associated with minimally invasive spinal treatments that have expanded the indications for treatment of spinal metastases and improved treatment outcomes. This heralds a new era in the management of spinal metastases.

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Section: Multidisciplinary Approaches For Spinal Metastasismentioning

confidence: 99%

Section: Multidisciplinary Approaches For Spinal Metastasismentioning

confidence: 99%

A new era in the management of spinal metastasis

Morimoto,

Toda,

Hakozaki

et al. 2024

Front. Oncol.

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“…Patients with bone metastases often face physical, mental, and social challenges that require multidisciplinary involvement. In recent years, the Bone Metastasis Cancer Board (BMCB), a multidisciplinary conference specializing in bone metastasis, has gradually spread in Japan [4][5][6][7][8][9][10][11][12] In their practice, nurses are in close contact with patients with bone metastases and are thus in a key position to provide information and education to patients and their families 13 . Nurses can recognize symptoms suggestive of skeletal-related events due to bone metastases 14 .…”

Section: Introductionmentioning

confidence: 99%

Difficulties Nurses Report in Caring for Patients with Bone Metastases and Their Expectations after Participating in a Bone Metastasis Cancer Board: A Questionnaire Study

Kitagawa,

Aoyagi

et al. 2024

J Nippon Med Sch

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Background: Patients with bone metastases often face physical, mental, and social challenges that require multidisciplinary management. To improve treatment and practice, we conducted a questionnaire survey to assess nurses' opinions of problems related to caring for patients with bone metastases. In addition, we investigated nurses' perceptions of bone metastases after participating in a Bone Metastasis Cancer Board (BMCB).Methods: An anonymous questionnaire survey on problems in bone metastasis treatment and the BMCB was conducted. The respondents were nurses with more than 1 year of clinical experience working in wards where patients with bone metastases were admitted. Results:The number of valid responses was 224. Almost all the nurses felt anxiety about the risk of pathological fracture and paralysis while caring for patients with bone metastases. To reduce this anxiety, about 90% of the nurses supported the suggestion that "patients should be referred to an orthopedic surgeon in advance to obtain opinions on load restrictions". Nurses who had participated in the BMCB had higher expectations regarding treatment, multidisciplinary collaboration, and sharing and accumulating knowledge and experience. Conclusion:To improve treatment and nursing care for patients with bone metastases, it is important to make regular BMCB meetings more functional and to actively consult with specialists.

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“…In their publication "Clinical questions on rehabilitation in cancer patients with skeletal metastasis: a content analysis of the multidisciplinary tumor board records" Yamanaka et al describe a content analysis in the multidisciplinary tumor board records in the Department of Rehabilitation Medicine of the Nara Medical University in Japan, which was established particularly for discussing bone metastases [2]. They discussed 168 consecutive patients with skeletal metastasis from January 2017 to September 2019 and conclude that there are three important aspects of patients suffering from metastatic bone disease, namely occurrence of skeletal events, patient age, and growth speed of tumors [2]. The authors mention that rehabilitation-related questions may reflect patients' functional needs that occur more frequently in patients with pathological fractures or neurological symptoms, older patients, and patients with slow-growth tumors [2].…”

mentioning

confidence: 99%

“…They discussed 168 consecutive patients with skeletal metastasis from January 2017 to September 2019 and conclude that there are three important aspects of patients suffering from metastatic bone disease, namely occurrence of skeletal events, patient age, and growth speed of tumors [2]. The authors mention that rehabilitation-related questions may reflect patients' functional needs that occur more frequently in patients with pathological fractures or neurological symptoms, older patients, and patients with slow-growth tumors [2]. We fully agree with the authors and greatly appreciate their approach of a multidisciplinary tumor board to answer clinically relevant questions before and during cancer rehabilitation.…”

mentioning

confidence: 99%